Organization Active NPI

St. Bernards Behavioral Health

  • Psychiatric Hospital
  • Jonesboro, AR
National Provider Identifier
1265435002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
AR3552 Issued in AR
Legal business name
ST. BERNARDS BEHAVIORAL HEALTH
Practice address
2712 E Johnson Ave
Jonesboro, AR 72401-1874
Phone
(870) 932-2800
Fax
(870) 932-1189
NPI assigned
May 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Becky J Burns
Title
Business Office Manager
Phone
(870) 268-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X AR3552 AR Primary

Addresses

Primary practice location

2712 E Johnson Ave
Jonesboro, AR 72401-1874

Mailing address

2712 E Johnson Ave
Jonesboro, AR 72401-1874
Phone (870) 932-2800

Other identifiers 1

IdentifierTypeStateIssuer
14010OtherARAR BLUE CROSS & BLUE SHIE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265435002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011874",
            "telephone_number": "870-932-2800",
            "fax_number": "870-932-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011874",
            "telephone_number": "870-932-2800",
            "fax_number": "870-932-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BERNARDS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "870-268-4104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AR",
            "license": "AR3552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS & BLUE SHIE",
            "identifier": "14010",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.